Individual provider · Type 1 NPI
Shana Marie Broussard
Family Nurse Practitioner · Vancleave, MS
NPI number
1134740798
Active
Practice location
10404 Tucker Rd # Llc
Vancleave, MS 39565-7922
Mailing address
4511 Lynn Dr
Biloxi, MS 39532-9477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 903748 (MS) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Vancleave
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- Traci White, NP-CFamily Nurse Practitioner Vancleave, MS NPI 1316483084
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- Vecie Michele Harris, FNPFamily Nurse Practitioner Vancleave, MS NPI 1417252891
- Bobby Nicole Shows, FNPFamily Nurse Practitioner Vancleave, MS NPI 1518263888
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- Karen Veronica Carlisle-Bond, FNP-CFamily Nurse Practitioner Vancleave, MS NPI 1700521325
About NPI 1134740798
Shana Marie Broussard's National Provider Identifier is 1134740798, issued on May 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vancleave, MS. The record was last updated on Jun 24, 2020.